Analysis of robot-assisted nipple-sparing mastectomy using the da Vinci SP system.
J Surg Oncol
; 126(3): 417-424, 2022 Sep.
Article
en En
| MEDLINE
| ID: mdl-35622078
ABSTRACT
BACKGROUND:
As patients tend to be diagnosed with breast cancer at an early stage, the demand for better cosmetic outcomes has increased. Several studies revealed that robot-assisted nipple-sparing mastectomy (RNSM) shows favorable outcomes. The aim of the study was to reveal the feasibility of RNSM using the da Vinci single-port (SP) system with a minimal incision, hidden in the arm.METHODS:
From 2018 to 2021, 81 cases (70 patients) were retrospectively reviewed. Clinicopathologic characteristics, operative outcomes, and postoperative complications were evaluated. The operative outcomes were analyzed using the Mann-Whitney U test.RESULTS:
The median age was 42 years (range, 26-60 years). Bilateral RNSM was performed in 11 (27.2%) patients. The median size of the initial skin incision was 40 mm (range, 20-55 mm). Immediate reconstruction with direct-to-implant was performed in 54 (66.7%) patients and deep inferior epigastric perforator (DIEP) flaps in 15 (18.5%) patients. Postoperative complications of Clavien-Dindo Classification III occurred in six (7.5%) patients. Patients reconstructed with a DIEP flap had large breasts with more severe ptosis, yet grade III complications did not occur.CONCLUSIONS:
RNSM using the SP system can be applied for curative and risk-reducing mastectomy, regardless of breast size or ptosis grade.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Robótica
/
Neoplasias de la Mama
/
Mamoplastia
Tipo de estudio:
Etiology_studies
/
Observational_studies
Límite:
Adult
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Female
/
Humans
Idioma:
En
Año:
2022
Tipo del documento:
Article